denials resolution expert - medical claims - Burr Ridge - beBeeMedicalClaims

We are seeking a detail-oriented and knowledgeable Claims Integrity Specialist to join our dynamic team. This role is responsible for reviewing, analyzing, and resolving denied medical claims to ensure accurate reimbursement and compliance with payer guidelines. · ...

Be part of an organization where your expertise truly makes an impact Apply today and grow your career with purpose. · ...

A Medical Billing and Claims Specialist is needed to join our billing team. The successful candidate will handle the day-to-day billing operations and help drive revenue cycle efficiency for our outpatient clinic and state-funded programs. · Associate degree (preferred) or 4+ yea ...

You have a clear vision of where your career can go. And we have the leadership to help you get there. · CNA is a market leader in insuring Allied Healthcare Providers, · including nurses, nurse practitioners, physical therapists, · counselors, pharmacists, massage therapists and ...

The Medical Claim Auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. · Audit for accuracy as well as workflow compliance; · ...

The Medical Claim Auditor will coordinate and complete audits as well as compile and report results. · Logging/Tracking all Claims/Tasks to be audited · Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows · Assist with othe ...

This position is responsible for auditing, creating reports and managing findings based on regulatory requirements. Responsible for overseeing delegated oversight activities. · Project Management skills and experience. · ...

This position is responsible for auditing, creating reports, managing findings and reporting results based on regulatory requirements and operational controls evaluating and monitoring activities and functions delegated to contracted entities. · The job duties include overseeing ...

The Medical Claims Analyst (Project Analyst) supports the claims operations team by reviewing and interpreting healthcare claim files (837 and 835), analyzing daily reports, and facilitating communication between Claim Operations and health plan partners including Anthem and Blue ...

The Medical Claim Auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately appropriately timely. · Logging/Tracking all Claims/Tasks to be audited · Audit for accuracy as well as workflow compliance; Relea ...

The Medical Director provides physician support to Enterprise Clinical Services operations responsible for initial clinical review of service requests. · Conduct coverage reviews based on individual member plan benefits and national policies. · , ...

The Medical Claims Adjuster investigates and resolves complex health insurance claims. They analyze medical documentation and negotiate equitable resolutions while maintaining regulatory compliance. · 3+ years in health insurance claims experience. · Proficiency with claims platf ...

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important. · ...

We are seeking an experienced Claims Analyst/AVP to investigate, evaluate and resolve claims made against our medical malpractice business. · ...

Investigate and resolve claims made against the company's medical malpractice business including hospital primary and excess insurance. · Analyze complex coverage and manage litigation by effectively interacting with insureds, brokers, defense counsel, and other parties as requir ...

Sr Claims Analyst AVP Medical Malpractice Investigate evaluate and resolve claims made against the Company s medical malpractice business including hospital primary and excess long term care psychiatry and miscellaneous healthcare liability. · ...

Analyze complex coverage and manage litigation by effectively interacting with insureds, brokers, defense counsel, and other parties as required. Represent Company in the resolution of complex claims and participate in legal proceedings, including mediations. · Manage a vigorous ...

The Professional Medical Collector assists the Reimbursement Supervisor with billing and collection for all MIDC branches. · Collect intake information and verify insurance benefits. · Provide explanation of charges to payers and patients. · ...

The Professional Medical Collector assists the Reimbursement Supervisor with billing and collection for all MIDC branches. · This is a full-time position at the office located in Burr Ridge, IL. · Schedule: · Monday- Friday (in-person) · ...

+The Professional Medical Collector assists the Reimbursement Supervisor with billing and collection process. · +Collect intake information, verify insurance benefits · Work denied claims via insurance portals · ...

The Professional Medical Collector assists the Reimbursement Supervisor with billing and collection process for MIDC branches. · High School Diploma or Equivalent Required · Experience in medical collection practices required · ...